Protrusive Dental Podcast

Ask 10 Dentists for a treatment plan, and you will get 12 different recommendations. Treatment planning is an art, but our diagnosis should be highly scientific. Making decisions of what specific treatment we should recommend to our patients is the very foundation of daily practice. With the experienced Dr Paresh Shah we discuss the How, What and Why of the Treatment Planning process in this Back to Basics in Dentistry series. https://youtu.be/raZiERy8U4o Check out this full episode on YouTube Protrusive Dental Pearl: If you are unsure what is the best treatment plan for your patient, it likely means you haven’t asked enough questions. Ask more questions and seek your patients’ drivers and goals. “Find an experienced mentor that will walk you through gathering the information…. [discover] why it’s important to mount the cast rather than just holding it in with your hand.” – Dr Paresh Shah In this Episode, we discussed: Step by Step thorough Examination 12:50 Importance of having a Checklist 27:34 Records needed for a Comprehensive Exam 30:46 Communication between patients and Dentists about Treatment Plan – in a way that doesn’t confuse our patient 36:59 Talking Money and Fees 47:18 Check out Dr. Paresh Shah’s Instagram to learn and be inspired! If you enjoyed this, you will of course love Zak’s Presenting Treatment Plans the Comprehensive Way 

Want to upgrade your practice with dental photography but unsure where to start? I got early adopter and dental photography legend Dr Alessandro Devigus (the main man behind dentist.camera Instagram page) to share with us his fundamentals to make dental photography routine in for your clinical documentation. https://youtu.be/6WtCv9nb7HA Check out this full episode on YouTube Protrusive Dental pearl: AACD Dental photography guide, have this document at hand when start taking dental photographs because it will help you to remember your settings before they eventually become second nature. AACD_2013_Photo_GuideDownload And also be sure to check this video tutorial I made on how to take perfect Occlusal Dental Photographs (the trickiest shot!) https://youtu.be/PGTtZJnp9Pk “Every picture you didn’t take is a missed one…” – Dr Alessandro Devigus In this episode we talked about: Setting up the camera 12:37 The basic of taking photographs 14:19 Importance of magnification ratio on lens 17:48 Selection of materials ie mirrors and retractors 21:38 Making your own signatures on photography 26:39 Storing and Organizing photos 30:42 As promised, here are the basic dental photography camera settings by Dr Alessandro Devigus: Check out Dr Alessandro Devigus’ instagram page, the dentist.camera, to learn more about cameras. If you enjoyed this episode, you may also enjoy the ‘Which Dental Camera Should I Buy’? also with Dr Alessandro.

When treating periodontal disease there is more to it than removing biofilm. Our role is to be a motivator and lifestyle coach – only then can we see successful periodontal outcomes in the longterm. What’s your spiel to patients to explain what periodontal disease is? Do you show diagrams, draw or use your fingers? Listen to how Dr Ian Dunn explains Perio and you will want to implement his way of communicating on Monday morning! Brought to you by the Back to Basics series of August on Protrusive Dental Podcast. https://youtu.be/KAGHaWyacZs Check out this full episode on YouTube Protrusive Dental Pearl: Have some tools to be able to communicate via drawing (draw teeth, draw bone or periodontium etc) whether it’s digitally, on whiteboard or paper. There is beauty and magic about being able to draw something while your patients are watching beside you. “Communication has to be a two-way street. It shouldn’t be a monologue, it should be a discussion.” – Dr Ian Dunn In this episode we discussed about, Communication Masterclass between Dentists and Perio patients (12:38) How to communicate with more resistant patients (17:33) Referrals done by GDPs that could have been manage at their own practice  (21:22) Trying to get out of comfort zone in Perio (26:20) How to communicate risks in Perio treatment (32:08) Catch Dr. Ian Dunn’s Perio courses and be able to communicate to patients effectively about periodontal diseases. Do join us on our Facebook community, the Protrusive Dental community! If you like this episode, be sure to watch Finding Your Niche in Dentistry with Dr Pav Khaira

Dr Zak Kara, an oral surgeon, helps dentists regain confidence in extractions by discussing the importance of sectioning and elevating teeth. They also cover topics such as reassessing difficult extractions, effective communication with patients, overcoming equipment limitations, and tips for successful tooth sectioning.

Do your ID blocks work all the time? How about your management of the dreaded ‘hot pulp’? As a part of the Back to Basic series this August, I asked Dr Pynadath George, who practices advanced surgical and implant dentistry, about dental hacks for success with every dimension of local anaesthesia in Dentistry. https://youtu.be/F6l9glsEbuc  Check out this full episode on YouTube Protrusive Dental Pearl: Give painless local anaesthesia (aside from topical anaesthetic, we know that already!) by massaging the mucosa and the lip with your index finger and thumb. Get just a few drops of LA first and give it a minute to work. Then you can go back in and deliver your anaesthetic much faster and the patient will love you for painless anaesthesia! “If you want good success with the ID blocks, you need to look at and study the anatomy, even if it’s on a skull, and then relate that to your patient..” – Dr George In this episode we discussed about: Is Lidocaine/Articaine enough to numb patients as a GDP, or do we need to stock other anaesthetics such a Mepivicaine? (15:09) Avoidance of Articaine for ID block in some countries – if that really necessary? (18:35) Shift of mindset with young dentists practicing defensively (20:38) Tips on achieving successful ID blocks (27:04) Hitting bone during ID blocks – do you HAVE to hit bone? Can that be harmful? (33:38) How to manage the dreaded hot pulp! (36:39) Moderate and advanced local anaesthetic techniques in Dentistry (47:31) Tips on getting painless palatal injections (especially on ultra nervous patients) (51:05) Want to learn more? Check out this Advanced Implant Training by Dr George Pynadath I hope you are enjoying this Back to Basics series of episodes! If you liked this episode, you will also enjoy Basic Implant Occlusion and Work Life Balance – PDP012 with Implant Ninja!

A daily dilemma in Dentistry is deciding when (and HOW) to restore that extensive MODL amalgam restoration that was placed over 30 years ago! We go deep in to this, looking at single-tooth factors but also a full mouth ‘bigger picture’ view with Dr Andrew Chandrapal who has been trained by world-class clinicians including Dr John Kois and Dr Didier Dietschi, https://youtu.be/lulpENm4swo Check out this full episode on YouTube. Protrusive Dental Pearl: How to make sure your equipment doesn’t keep getting lost? Use color coded tapes on your own equipment and tell your team that stuff is super important because it belongs to you. https://www.instagram.com/tv/CNUi20EJ9Pk/ “Using things like air abrasion to then try and remove the apical amalgam whatever you can do to try and be gentle in your removal of that material is a good way to go” – Dr Andrew In this episode I ask Dr Andrew Chandrapal,  When to classify the large restoration has failed (12:45) Risk factors of a tooth with large restoration would undergo necrosis (18:33) About restricted anterior restriction or constriction (22:21) How to prevent yellow stains and if you should intervene for a long time restorations? (29:16) Little tip on special burs to use when cutting out caries (31:21) Cutoff point whether to cap the cusp tip or not (33:26) When to decide if you should intervene because of marginal staining and communicating to patients (37:44) What factors to consider moving from direct restoration to indirect restoration? (39:59) Treatment plan to reduce the risks of fracture (42:31) As promised in the episode, if you want to learn more of Composite courses by Dr Andrew Chandrapal – IndigoDent Education If you enjoy this episode, check out this Composite vs Ceramic with Dr Chris Orr

Recession is one of the those diagnoses we make all the time – lots of our patients have recession. I always struggled to decide when we should be proactive with recession and suggest surgery – it is very easy to monitor recession through photos and measurements. Specialist Periodontist Dr Amit Patel discusses his decision making when it comes to recession defects. He also discusses his journey which is very encouraging as it teaches us that you DON’T have to have it all figured out from the start…. https://youtu.be/A1b0sL4rJUk Check out this  full episode on YouTube Protrusive Dental Pearl: What do you do if your patient is bleeding after an extraction and you’re struggling with haemostasis? You can try placing a hot tea bag on the socket (no, really!) – the tannic acid in the tea bag will aid blood clotting. So next time you have a bleeder in the chair, remember, ‘time for a cup of tea!’ In this episode we discussed: Knowing when to refer recession to a Periodontist for surgery vs monitoring (23:39) Communicating to patients whether to have some treatment done now or later (26:02) Miller’s classification (30:05) Why can we get 100% root coverage (32:36) Do GDPs have a role in carrying out Perio surgery (42:53) Advice for patients to prevent recession to get worse (48:30) Realistic expectations to patients about what kind of aesthetic complications to accept as a compromise (52:01) If you liked this episode, you might also enjoy the episode, Should you specialise?

Online reviews for Dentists are a big thing in 2021 and it’s only really just lifting off now. A few years ago I had an appointment with an ENT consultant and the first thing I did was google his name. Most of our patients are googling us and our online reputation is critical. In this episode I am joined by the founder of Doctify, Dr Suman Saha to help you get more high quality reviews for your practice. https://youtu.be/LiHSvoWBuPA Check out this  full episode on YouTube Protrusive Dental Pearl: How to increase the success rate of capturing review: Consider text messaging and/or having a tablet in your practice so they can leave it immediately after treatment. In this Group Function we discussed: What is the role of patient Reviews dentistry? (07:02) Doctify vs different online review sites/apps such as Google Reviews (08:39) How can we make sure the reviews are accurate? How to overcome fake reviews (12:18) How to create a win-win scenario between Principals (the practice) and associates (that want their reviews to stick with them) (17:48) How to get dentists (who might be introverts) to have awkward conversation with patients and ask for reviews (24:20) If you enjoyed this episode, you might also like this episode Think Comprehensive – Communication Gems with Zak Kara

Surely injection moulding composite resin is too ambitious to restore Toothwear? Well, let Dr Kostas convince you otherwise! Restorative Dentist Dr Kostas Karagiannopoulos will reveal all the the nitty gritty secrets from patient evaluation to the entire bonding protocol. https://youtu.be/hL5aAdzk-hk Check out this full episode on YouTube Protrusive Dental Pearl: How to improve the resistance form of ceramic onlays: Use a big fat round bur, sink it into your composite core (be sure you’re drilling into core material and not sacrificing healthy tooth structure) and allow your ceramic to extend into that to help your onlays stay on when you’re trying them in. Whether this extension improves retention form is debatable Step by Step PDF Infographic. Click here In this episode we discussed: Role of injectable composites as a transition (and as a long term solution) (12:59) Follow-ups and maintenance of injection molded composites (16:52) Contraindication for injection molding (20:28) Indication for injection molding  (20:54) Minimizing voids when restoring with injection moulded composites (21:48) Filling the stent with composite (a thing of beauty!) (28:17) Other techniques vs Injection molding (31:29) Injection molding composite case sequence (35:04) Isolation during injection molding? (46:36) If you enjoyed this episode, check out eMax Onlays and Vertipreps Want to learn more? Do check out this one-day course by Dr Kostas with GC UK

It’s my sister’s wedding but the Protrusive team managed to get this out for you – and boy it is a good one! Dr Omid Azami AKA The Noobie Dentist will inspire to you adopt a growth Mindset. https://youtu.be/NSEbShIeD04 Check out this  full episode on YouTube “Have that mindset like ‘it’s a journey’, you’re never ‘there’ necessarily. You can always get better, and do more.” – Dr. Omid Azami Here with me, Dr. Omid Azami, host of Noobie Dentist Podcast, who inspires and gives voices to clinicians all over the world and inspiring Dentists. In this Interference Cast, we discuss all about: Tips on making life more efficient, better and more productive. (09:26) Key attributes that help a young dentist to become great. (16:33) Tips and tricks to make a habit of taking photos. (20:54) Journey of self-discovery. Finding your pathways and niche. (24:20) Importance of mentorship, even remote mentorship. (32:58) Most inspirational guest from Noobie dentist and their takeaways (39:03) If you want to learn more, please do subscribe at  Dr. Omid Azami’s Noobie Dentist Podcast If you liked this episode, you will definitely love and will learn a lot from the episode 10 Habits of Highly Successful (and Most Valued) Dentists